Active NPI
Christina Renee Vander Woude, MSW
- Social Worker
- Sioux Falls, SD
National Provider Identifier
1497031371
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 2295-SW
- Practice address
- 523 N Duluth Ave
Sioux Falls, SD 57104-2714 - Phone
- (605) 988-3775
- Fax
- (605) 988-3747
- NPI assigned
- Oct 24, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 2295-SW | SD | Primary |
Addresses
Primary practice location
523 N Duluth Ave
Sioux Falls, SD 57104-2714
Mailing address
523 N Duluth Avenue
Sioux Falls, SD 57104
Phone (605) 988-3775
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2295-SW | SD | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1319414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1504137600000",
"number": "1497031371",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "523 N DULUTH AVENUE",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "57104",
"telephone_number": "605-988-3775",
"fax_number": "605-988-3747"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "523 N DULUTH AVE",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571042714",
"telephone_number": "605-988-3775",
"fax_number": "605-988-3747"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANDER WOUDE",
"first_name": "CHRISTINA",
"middle_name": "RENEE",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-10-24",
"last_updated": "2017-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "SD",
"license": "2295-SW",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sioux Falls, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.